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胫腓骨多段粉碎性骨折的内固定选择 被引量:4

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摘要 目的探讨胫腓骨多段粉碎性骨折早期合理有效的内固定方法。方法对23例胫腓骨多段粉碎性骨折采用延期锁定钢板内固定14例,交锁髓内钉内固定9例。结果本组获随访6-25个月,平均13个月,骨折一期愈合17例,延迟愈合6例,无骨髓炎及骨不连接等并发症。根据Johner-Wruhs评分标准:优20例,良2例,可l例,优良率95.7%。结论延期锁定钢板或交锁髓内钉内固定是治疗胫骨多段粉碎性骨折的有效方法,以锁定钢板为首选。但是术前必须正确评估软组织损伤的程度.合理选择手术时机。
出处 《中国骨与关节损伤杂志》 2014年第1期84-85,共2页 Chinese Journal of Bone and Joint Injury
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